Challenges Faced by Single Mothers in Managing Multiple Children with Diabetes: A Qualitative Single-Case Study

The management of children with type 1 diabetes (T1D) poses many challenges, which become more complicated when a single mother must care for multiple children with diabetes. This case report explores the psychological, social, logistical, and financial challenges faced by a single mother raising multiple children with diabetes and aims to identify strategies for addressing these challenges. A qualitative case study was conducted through in-depth semi-structured interviews with the mother (MM) and her children, supplemented by clinical data and observation. Standardized psychological tools, the Children's Depression Inventory and Pediatric Quality of Life Inventory Diabetes Module for children, and the Perceived Stress Scale for the mother, were used. Data were analyzed thematically and validated by two independent researchers. Bias was minimized through triangulation of interviews, observation, and clinical records. This mother experienced significant emotional strain, financial hardship, and social isolation. The affected children demonstrated elevated stress and emotional fatigue. The nonaffected siblings reported jealousy and fear of developing diabetes. Structured routines, peer support, and therapy improved coping and quality of life. Single mothers managing multiple children with T1D face complex overlapping challenges. Coordinated psychological, educational, and social support systems are essential.